diff --git a/CHANGELOG.md b/CHANGELOG.md
index 62448291a..60284abc7 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -1,3 +1,9 @@
+## Unreleased
+
+### Internal
+
+- Add external_propagation_context support ([#2841](https://github.com/getsentry/sentry-ruby/pull/2841))
+
 ## 6.3.0
 
 ### Features
diff --git a/sentry-ruby/lib/sentry-ruby.rb b/sentry-ruby/lib/sentry-ruby.rb
index fbdbc6b50..5a88ae59a 100644
--- a/sentry-ruby/lib/sentry-ruby.rb
+++ b/sentry-ruby/lib/sentry-ruby.rb
@@ -666,6 +666,38 @@ def sdk_meta
       META
     end
 
+    # Registers a callback function that retrieves the current external propagation context.
+    # This is used by OpenTelemetry integration to provide trace_id and span_id from OTel context.
+    #
+    # @param callback [Proc, nil] A callable that returns [trace_id, span_id] or nil
+    # @return [void]
+    #
+    # @example
+    #   Sentry.register_external_propagation_context do
+    #     span_context = OpenTelemetry::Trace.current_span.context
+    #     return nil unless span_context.valid?
+    #     [span_context.hex_trace_id, span_context.hex_span_id]
+    #   end
+    def register_external_propagation_context(&callback)
+      @external_propagation_context_callback = callback
+    end
+
+    # Returns the external propagation context (trace_id, span_id) if a callback is registered.
+    #
+    # @return [Array<String>, nil] A tuple of [trace_id, span_id] or nil if no context is available
+    def get_external_propagation_context
+      return nil unless @external_propagation_context_callback
+
+      @external_propagation_context_callback.call
+    rescue => e
+      sdk_logger&.debug(LOGGER_PROGNAME) { "Error getting external propagation context: #{e.message}" } if initialized?
+      nil
+    end
+
+    def clear_external_propagation_context
+      @external_propagation_context_callback = nil
+    end
+
     # @!visibility private
     def utc_now
       Time.now.utc
diff --git a/sentry-ruby/lib/sentry/scope.rb b/sentry-ruby/lib/sentry/scope.rb
index 6d0ec2d36..2d77b289e 100644
--- a/sentry-ruby/lib/sentry/scope.rb
+++ b/sentry-ruby/lib/sentry/scope.rb
@@ -60,19 +60,10 @@ def apply_to_event(event, hint = nil)
         event.attachments = attachments
       end
 
-      if span
-        event.contexts[:trace] ||= span.get_trace_context
-
-        if event.respond_to?(:dynamic_sampling_context)
-          event.dynamic_sampling_context ||= span.get_dynamic_sampling_context
-        end
-      else
-        event.contexts[:trace] ||= propagation_context.get_trace_context
-
-        if event.respond_to?(:dynamic_sampling_context)
-          event.dynamic_sampling_context ||= propagation_context.get_dynamic_sampling_context
-        end
-      end
+      trace_context = get_trace_context
+      dynamic_sampling_context = trace_context.delete(:dynamic_sampling_context)
+      event.contexts[:trace] ||= trace_context
+      event.dynamic_sampling_context ||= dynamic_sampling_context
 
       all_event_processors = self.class.global_event_processors + @event_processors
 
@@ -94,7 +85,7 @@ def apply_to_event(event, hint = nil)
     # @return [MetricEvent, LogEvent] the telemetry event with scope context applied
     def apply_to_telemetry(telemetry)
       # TODO-neel when new scope set_attribute api is added: add them here
-      trace_context = span ? span.get_trace_context : propagation_context.get_trace_context
+      trace_context = get_trace_context
       telemetry.trace_id = trace_context[:trace_id]
       telemetry.span_id = trace_context[:span_id]
 
@@ -305,6 +296,20 @@ def get_span
       span
     end
 
+    # Returns the trace context for this scope.
+    # Prioritizes external propagation context (from OTel) over local propagation context.
+    # @return [Hash]
+    def get_trace_context
+      if span
+        span.get_trace_context.merge(dynamic_sampling_context: span.get_dynamic_sampling_context)
+      elsif (external_context = Sentry.get_external_propagation_context)
+        trace_id, span_id = external_context
+        { trace_id: trace_id, span_id: span_id }
+      else
+        propagation_context.get_trace_context.merge(dynamic_sampling_context: propagation_context.get_dynamic_sampling_context)
+      end
+    end
+
     # Sets the scope's fingerprint attribute.
     # @param fingerprint [Array]
     # @return [Array]
diff --git a/sentry-ruby/spec/sentry/scope_spec.rb b/sentry-ruby/spec/sentry/scope_spec.rb
index 0f4cbfae7..a31dda16f 100644
--- a/sentry-ruby/spec/sentry/scope_spec.rb
+++ b/sentry-ruby/spec/sentry/scope_spec.rb
@@ -187,6 +187,78 @@
     end
   end
 
+  describe "#get_trace_context" do
+    before { perform_basic_setup }
+
+    context "with span" do
+      let(:transaction) { Sentry::Transaction.new(op: "test") }
+
+      before do
+        subject.set_span(transaction)
+      end
+
+      it "returns the span's trace context with dynamic_sampling_context" do
+        trace_context = subject.get_trace_context
+        expect(trace_context[:trace_id]).to eq(transaction.trace_id)
+        expect(trace_context[:span_id]).to eq(transaction.span_id)
+        expect(trace_context[:op]).to eq("test")
+        expect(trace_context[:dynamic_sampling_context]).to eq(transaction.get_dynamic_sampling_context)
+      end
+
+      it "prioritizes span over external propagation context" do
+        Sentry.register_external_propagation_context do
+          ["abc123def456789012345678901234ab", "1234567890abcdef"]
+        end
+
+        trace_context = subject.get_trace_context
+        expect(trace_context[:trace_id]).to eq(transaction.trace_id)
+        expect(trace_context[:dynamic_sampling_context]).to eq(transaction.get_dynamic_sampling_context)
+
+        Sentry.clear_external_propagation_context
+      end
+    end
+
+    context "with external propagation context" do
+      let(:external_trace_id) { "abc123def456789012345678901234ab" }
+      let(:external_span_id) { "1234567890abcdef" }
+
+      before do
+        Sentry.register_external_propagation_context do
+          [external_trace_id, external_span_id]
+        end
+      end
+
+      after do
+        Sentry.clear_external_propagation_context
+      end
+
+      it "returns the external propagation context's trace context" do
+        trace_context = subject.get_trace_context
+        expect(trace_context[:trace_id]).to eq(external_trace_id)
+        expect(trace_context[:span_id]).to eq(external_span_id)
+      end
+    end
+
+    context "when external propagation context callback returns nil" do
+      before do
+        Sentry.register_external_propagation_context do
+          nil
+        end
+      end
+
+      after do
+        Sentry.clear_external_propagation_context
+      end
+
+      it "falls back to local propagation context with dynamic_sampling_context" do
+        trace_context = subject.get_trace_context
+        expect(trace_context[:trace_id]).to eq(subject.propagation_context.trace_id)
+        expect(trace_context[:span_id]).to eq(subject.propagation_context.span_id)
+        expect(trace_context[:dynamic_sampling_context]).to eq(subject.propagation_context.get_dynamic_sampling_context)
+      end
+    end
+  end
+
   describe "#apply_to_event" do
     before { perform_basic_setup }
 
@@ -300,6 +372,7 @@
       subject.apply_to_event(event)
 
       expect(event.contexts[:trace]).to eq(transaction.get_trace_context)
+      expect(event.contexts[:trace]).not_to have_key(:dynamic_sampling_context)
       expect(event.contexts.dig(:trace, :op)).to eq("foo")
       expect(event.dynamic_sampling_context).to eq(transaction.get_dynamic_sampling_context)
     end
@@ -307,6 +380,7 @@
     it "sets trace context and dynamic_sampling_context from propagation context if there's no span" do
       subject.apply_to_event(event)
       expect(event.contexts[:trace]).to eq(subject.propagation_context.get_trace_context)
+      expect(event.contexts[:trace]).not_to have_key(:dynamic_sampling_context)
       expect(event.dynamic_sampling_context).to eq(subject.propagation_context.get_dynamic_sampling_context)
     end
 
diff --git a/sentry-ruby/spec/sentry_spec.rb b/sentry-ruby/spec/sentry_spec.rb
index 38ba360bf..22c7a5859 100644
--- a/sentry-ruby/spec/sentry_spec.rb
+++ b/sentry-ruby/spec/sentry_spec.rb
@@ -938,6 +938,55 @@
     end
   end
 
+  describe ".register_external_propagation_context" do
+    after do
+      described_class.clear_external_propagation_context
+    end
+
+    it "registers a callback function" do
+      described_class.register_external_propagation_context do
+        ["trace123", "span456"]
+      end
+
+      expect(described_class.get_external_propagation_context).to eq(["trace123", "span456"])
+    end
+  end
+
+  describe ".get_external_propagation_context" do
+    after do
+      described_class.clear_external_propagation_context
+    end
+
+    it "returns nil when no callback is registered" do
+      expect(described_class.get_external_propagation_context).to be_nil
+    end
+
+    it "returns nil when callback returns nil" do
+      described_class.register_external_propagation_context do
+        nil
+      end
+
+      expect(described_class.get_external_propagation_context).to be_nil
+    end
+
+    it "returns the result from the callback" do
+      described_class.register_external_propagation_context do
+        ["abc123def456789012345678901234", "1234567890abcdef"]
+      end
+
+      result = described_class.get_external_propagation_context
+      expect(result).to eq(["abc123def456789012345678901234", "1234567890abcdef"])
+    end
+
+    it "catches errors from the callback and returns nil" do
+      described_class.register_external_propagation_context do
+        raise "Something went wrong"
+      end
+
+      expect(described_class.get_external_propagation_context).to be_nil
+    end
+  end
+
   describe ".continue_trace" do
     context "without incoming sentry trace" do
       let(:env) { { "HTTP_FOO" => "bar" } }